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POLICY NUMBER INSURED NAME AND ADDRESS <br />P 2093390918 MGT OF AMERICA, INC. <br />2123 CENTRE POINT BLVD <br />TALLAHASSEE, FL 32308 -4930 <br />POLICY CRANGES <br />ENDORSEINT EFFECTIVE 0 /20/13 <br />This Change Endorsement changes the Policy. Please read it carefully. <br />This Change Endorsement is a part of your Policy and takes offset on the <br />affective date of your Policy, unless another effective date in shown. <br />G- 15115 -A <br />(Ed. 10/89) <br />This form has been added to the policy: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CHANGES - NOTICE OF CANCELLATION <br />OR MATERIAL COVERAGE CHANGE <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART <br />POLLUTION LIABILITY COVERAGE PART <br />PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />RAILROAD PROTECTIVE LIABILITY COVERAGE PART <br />In the event of cancellation or material change that reduces or <br />restricts the insurance afforded by this Coverage Part (other than <br />S the reduction of aggregate limits through payment of claims), we <br />agree to mail prior written notice of cancellation or material <br />change to: <br />SCHEDULE <br />1. Number of days advance notice: 30 <br />30 Days for Non - Payment of <br />Premium <br />City of Bakersfield, Finance Department - City Hall North <br />1600 Truxton Avenue <br />Bakersfield, CA 93301 <br />City of Fort Bragg <br />416 N. Franklin Street <br />Fort Bragg, CA 95437 <br />City of LaMirada <br />13700 LaMirada Blvd <br />LaMirada, CA 90638 <br />Cn.lrm�n a <br />We Bw d <br />G- 56015 -B (ED. 11/91) <br />10 40 <br />r�ppff)- " <br />LISA t° )% Attorney <br />C`t sereun <br />